AANP FNP Boards Prep LATEST UPDATES 2023 A GRADE.
m m m m m m m m
AANPmRetiredmQuestionsmfromm2020mExamm75mquestionsmwithmquestionsmandmanswers.
,Anm88-year-oldmpresentsmwithmright-
sidemweaknessmaftermbeingmunablemtomrisemunassistedmfollowingmamfallmtomthembathroommf
loor.mHistorymincludesmaphasiamandmnoncompliancemwithmhypertensionmmedicationmregi
men.mWhatmismthemmostmlikelymdiagnosis?
Left-sidedmormright-sidedmCVA?m-mANSWER-LEFT-SIDEDmCVA
Whichmofmthemfollowingmsigns/symtpomsmaremoftenmassociatedmwithmheadahcesmduemtomintr
acranialmtumor?
1) painmworsemlayingmdown,mfocalmneurologicalmsigns
,2) Hyperflexia,mpersonalitymchang
em3)macutemonset:mhoursmtomdays
4)mpupillarymconstriction;mstuporm-mANSWER-
1)mpainmworsemlayingmdown,mfocalmneurologicalmsigns
Whichmofmthemfollowingmpharmacotherapeuticsmwouldmbemmostmimportantmtomadministermt
omampatientmwhomhasmamcornealmabrasion?
1) Timolol
2) Gentamicinmophthalmic
3) Cromolynmoptha
4) Olopatadinem-mANSWER-2)mGentamicinmophthalmicm(Genoptic)
Am25-year-
oldmpresentsmwithmthemchiefmcomplaintmofmdecreasedmmobilitymandmpainmofmthemrightmsho
uldermexacerbatedmbymmovement.mThempatientmreportsmthatmhemparticipatedminmextensive
mhousempaintingm24mhoursmpriormtomthemonsetmofmpain.mHemdeniesmanymtrauma.m Passivem
ROMmismintact.mNomrednessmormecchymosismismpresent.mWhatmismthemnextmstepmtombemtake
nminmordermtommakemamdiagnosis?
1) Xraymofmshoulder
2) Palpatemstructuresmaroundmthemshoulder
.m3)mMRImofmshoulder
4)mEMGm-mANSWER-2)mpalpatemstructures
Am16-year-oldmfemaleminmthemfirstmmonthmofmtakingmOrtho-
Novumm7/7/7mcomplainsmofmmidcyclemspotting.mShemhasmnotmmissedmanymdosesmandmuse
smnomothermmedication.mWhichmofmthemfollowingmismappropriate?
1)mChangingmtomOrtho-
Novumm1/35m2)mDiscontinuemuse
3) Providingmreassurance
4) Doublemdose-formtwomdaysm-mANSWER-3)mprovidemreassurance
AccordingmtomthemReportmofmthemU.S.mPreventivemServicesmTaskmForce,mwhichmofmthemfoll
owingmismNOTmamcurrentmrecommendationmguidelinemformpreventivemcareminmelderlymfemal
empatients?
1)mMammogrammandmclinicalmbreastmexam
sm2)mFecalmOccultmbloodmtestmand/ormsig
3) Rubellamserologymormvaccinationmhistory
4) Pnuemomandminfluenzamvaccinesm-mANSWER-
3)mRubellamserologymormvaccinationmhistory
87my/omNHmpatientmismdrowsymandmbarelymresponsive.mTempm95,mBP:m110/70,mPulsem60,
mRm
10.mThembestmactionmismto:
, 1)minitiatempassivemwarmin
gm2)mapplymamrebreather
3) Performmfluidmreplacement
4) initiatemactivemwarmingm-mANSWER-1)minitiatempassivemrewarming
AmpatientmismreferredmwithmDM,mHTNmandmCAD.mHemismonminsulinmandmambetamblocker.mHo
wmwouldmyoumeducatemthismpatientmonmrecognizingmthemsignsmandmsymptomsmofmhypoglyc
emia?
1) Edema
2) Tachycardia
3) palpitations
4) sweatingm-mANSWER-4)msweating
Am65-year-
oldmoverweightmpatientmismdiagnosedmwithmplantarmfasciitis.mInitialmtherapymofmNSAIDs,mst
retching,mice,mandmrestmhasmprovenmineffectivemafterm3mweeks.mThembestmfollow-
upmplanmofmcaremwouldmbemto:
m
1) stopmNSAID,mapplymamheelmcupmandmencouragemexercisemandmwtmloss.
2) continuemNSAID,mapplymanmarchmsupportmandmencouragemwtmlossmandmexerci
sem3)mcontinuemNSAID,mxraymandmaddmamshort-legmnightmsplint
4)mCOntinuemNSAID,mxraymandmaddmammetatarsalmbarm-mANSWER-
2)mcontinuemNSAID,mapplymanmarchmsupportmandmencouragemwtmlossmandmexercise
FundoscopicmexammofmHypertensivempatient.
1)mnickingmofmarteriolsmandmviens,mandmsmallmretinolmhemorrages
2)mdrusenmbodiesmandmpalemretina
m
3) palemmaculamandmswollenmdiskmmargins
4) microaneurysmsmandmopticmdiscmcuppingm-mANSWER-
1)mnickingmofmarteriolsmandmviens,mandmsmallmretinolmhemorrages
Whichmofmthemfollowingmismamcommonmpresentingmfeaturemofmhyperthyroidismminmthemelderly
?
1) elevatedmTSH
2) Thyroidmenlargement
3) atrialmfibrillation
4) abnormalmT3msuppressionm-mANSWER-3)matrialmfibrillation
Am35-year-
oldmlawnmmaintenancemworkermpresentsmreportingm"somethingminmmymeye"msincemthemprevi
ousmday.mThemeyemwasmrinsedmwithmover-the-
countermeyewash,mwithoutmrelief.mThempatientmdeniesmvisualmdisturbancesmormdrainage.mInm
formulatingmamplanmofmcare,mthemnursempractitionermwouldmFIRST:
1)msendmtomophthalmologist
sm2)mflorescreenmstaining
m m m m m m m m
AANPmRetiredmQuestionsmfromm2020mExamm75mquestionsmwithmquestionsmandmanswers.
,Anm88-year-oldmpresentsmwithmright-
sidemweaknessmaftermbeingmunablemtomrisemunassistedmfollowingmamfallmtomthembathroommf
loor.mHistorymincludesmaphasiamandmnoncompliancemwithmhypertensionmmedicationmregi
men.mWhatmismthemmostmlikelymdiagnosis?
Left-sidedmormright-sidedmCVA?m-mANSWER-LEFT-SIDEDmCVA
Whichmofmthemfollowingmsigns/symtpomsmaremoftenmassociatedmwithmheadahcesmduemtomintr
acranialmtumor?
1) painmworsemlayingmdown,mfocalmneurologicalmsigns
,2) Hyperflexia,mpersonalitymchang
em3)macutemonset:mhoursmtomdays
4)mpupillarymconstriction;mstuporm-mANSWER-
1)mpainmworsemlayingmdown,mfocalmneurologicalmsigns
Whichmofmthemfollowingmpharmacotherapeuticsmwouldmbemmostmimportantmtomadministermt
omampatientmwhomhasmamcornealmabrasion?
1) Timolol
2) Gentamicinmophthalmic
3) Cromolynmoptha
4) Olopatadinem-mANSWER-2)mGentamicinmophthalmicm(Genoptic)
Am25-year-
oldmpresentsmwithmthemchiefmcomplaintmofmdecreasedmmobilitymandmpainmofmthemrightmsho
uldermexacerbatedmbymmovement.mThempatientmreportsmthatmhemparticipatedminmextensive
mhousempaintingm24mhoursmpriormtomthemonsetmofmpain.mHemdeniesmanymtrauma.m Passivem
ROMmismintact.mNomrednessmormecchymosismismpresent.mWhatmismthemnextmstepmtombemtake
nminmordermtommakemamdiagnosis?
1) Xraymofmshoulder
2) Palpatemstructuresmaroundmthemshoulder
.m3)mMRImofmshoulder
4)mEMGm-mANSWER-2)mpalpatemstructures
Am16-year-oldmfemaleminmthemfirstmmonthmofmtakingmOrtho-
Novumm7/7/7mcomplainsmofmmidcyclemspotting.mShemhasmnotmmissedmanymdosesmandmuse
smnomothermmedication.mWhichmofmthemfollowingmismappropriate?
1)mChangingmtomOrtho-
Novumm1/35m2)mDiscontinuemuse
3) Providingmreassurance
4) Doublemdose-formtwomdaysm-mANSWER-3)mprovidemreassurance
AccordingmtomthemReportmofmthemU.S.mPreventivemServicesmTaskmForce,mwhichmofmthemfoll
owingmismNOTmamcurrentmrecommendationmguidelinemformpreventivemcareminmelderlymfemal
empatients?
1)mMammogrammandmclinicalmbreastmexam
sm2)mFecalmOccultmbloodmtestmand/ormsig
3) Rubellamserologymormvaccinationmhistory
4) Pnuemomandminfluenzamvaccinesm-mANSWER-
3)mRubellamserologymormvaccinationmhistory
87my/omNHmpatientmismdrowsymandmbarelymresponsive.mTempm95,mBP:m110/70,mPulsem60,
mRm
10.mThembestmactionmismto:
, 1)minitiatempassivemwarmin
gm2)mapplymamrebreather
3) Performmfluidmreplacement
4) initiatemactivemwarmingm-mANSWER-1)minitiatempassivemrewarming
AmpatientmismreferredmwithmDM,mHTNmandmCAD.mHemismonminsulinmandmambetamblocker.mHo
wmwouldmyoumeducatemthismpatientmonmrecognizingmthemsignsmandmsymptomsmofmhypoglyc
emia?
1) Edema
2) Tachycardia
3) palpitations
4) sweatingm-mANSWER-4)msweating
Am65-year-
oldmoverweightmpatientmismdiagnosedmwithmplantarmfasciitis.mInitialmtherapymofmNSAIDs,mst
retching,mice,mandmrestmhasmprovenmineffectivemafterm3mweeks.mThembestmfollow-
upmplanmofmcaremwouldmbemto:
m
1) stopmNSAID,mapplymamheelmcupmandmencouragemexercisemandmwtmloss.
2) continuemNSAID,mapplymanmarchmsupportmandmencouragemwtmlossmandmexerci
sem3)mcontinuemNSAID,mxraymandmaddmamshort-legmnightmsplint
4)mCOntinuemNSAID,mxraymandmaddmammetatarsalmbarm-mANSWER-
2)mcontinuemNSAID,mapplymanmarchmsupportmandmencouragemwtmlossmandmexercise
FundoscopicmexammofmHypertensivempatient.
1)mnickingmofmarteriolsmandmviens,mandmsmallmretinolmhemorrages
2)mdrusenmbodiesmandmpalemretina
m
3) palemmaculamandmswollenmdiskmmargins
4) microaneurysmsmandmopticmdiscmcuppingm-mANSWER-
1)mnickingmofmarteriolsmandmviens,mandmsmallmretinolmhemorrages
Whichmofmthemfollowingmismamcommonmpresentingmfeaturemofmhyperthyroidismminmthemelderly
?
1) elevatedmTSH
2) Thyroidmenlargement
3) atrialmfibrillation
4) abnormalmT3msuppressionm-mANSWER-3)matrialmfibrillation
Am35-year-
oldmlawnmmaintenancemworkermpresentsmreportingm"somethingminmmymeye"msincemthemprevi
ousmday.mThemeyemwasmrinsedmwithmover-the-
countermeyewash,mwithoutmrelief.mThempatientmdeniesmvisualmdisturbancesmormdrainage.mInm
formulatingmamplanmofmcare,mthemnursempractitionermwouldmFIRST:
1)msendmtomophthalmologist
sm2)mflorescreenmstaining
